I apologize for this being behind but I was supposed to stay quiet after the transfer for a couple days and then we had to pack to come home.
Monday May 7, 2012
Monday we had our embryo transfer in the morning. We were taken back to the same procedure area and set up in our own curtained room. You are allowed to eat before the transfer and are required to drink 3-5 glasses of water. I drank half of a gigantic bottle figuring that would do. The nurses asked me if I had a full bladder and told me that since it would be another forty minutes I could try and go a little to make it less uncomfortable as long as I didn't completely empty it. Well, I was feeling fine until I "went a little" which made me cross my legs and dance more.
The doctor finally came in to let us know about our embryos and put us at ease. He informed us that eight of the embryos survived the weekend and that he recommended transferring two 5AA blastocysts, which are top quality. There is a grading system and I found a good website from an IVF clinic in Chicago that explains and shows good pictures. Here is some of the information that I found.
|Blastocyst development and stage status|
Blastocoel cavity less than half the volume of the embryo
Blastocoel cavity more than half the volume of the embryo
Full blastocyst, cavity completely filling the embryo
Expanded blastocyst, cavity larger than the embryo, with thinning of the shell
Hatching out of the shell
Hatched out of the shell
Inner cell mass quality
Many cells, tightly packed
Several cells, loosely grouped
Very few cells
Many cells, forming a cohesive layer
Few cells, forming a loose epithelium
Very few large cells
Here is a photo from the website of what a blastocyst of the same quality looks like.
5AA Blastocyst hatching out of shell = 5
Inner cell mass = A
Trophectoderm = A
Inner cell mass = A
Trophectoderm = A
The doctor also mentioned that the rest of the embryos were still of good quality and that if we chose to freeze them the embryologist would do it in groups of three. We of course agreed but hope that we won't need them unless we would like to eventually have another baby. At that point the process if shortened tremendously because I would not need to be on weeks of injections.
OK, back to the transfer. After the doctor left, the nurses had me change into the too short for a 5'11" woman hospital gown and we walked down to the same room that the egg retrieval was done in. When I got in there the ultrasound was set up and three different nurses came in and kindly pressed on my extremely full bladder. Next the doctor comes in and explains that this is similar to a yearly pap smear. He starts his part and the nurse positions the ultrasound, pressing firmly, then you wait for the embryologist to bring in the embryos. It was the longest two minutes of my life. When the embryos or more correctly blastocysts are brought in it only takes a minute to do the transfer. He watched the ultrasound and announced that he found a perfect spot in my uterus away from my polyp.
After the transfer I had to lay on my back for one hour so they took me back to my room where John was waiting. That was fun considering I just had my bladder pressed on multiple times after consuming a liter of water. They recommended to stay quiet and not talk a lot.
John had a few questions about our other blastocysts so the embryologist came in to talk to us. He said the ones that we were going to freeze were still of good quality and should we need them they could continue to improve after the thawing. He also said that from his perspective we have a 30% chance of multiples..oh boy!
The rest of the day I laid around and John waited on me. I milked that as much as I could. Well, actually I am still milking it. Just a little! We have to wait a couple weeks before we know anything and I haven't really decided if I will blog about the results either way for a while. You have to be on progesterone starting from the egg retrieval and I was told until at least the first ultrasound, if there is a positive pregnancy test. Dr. Arici wants to know the results of the blood test as well as the first ultrasound. I was told at that point if I am pregnant he will let us know how much longer to be on the progesterone. It is nice to know that he will still be working with my OB/GYN and supporting us even from afar.
If you are thinking of going abroad for IVF and are interested in knowing more about our trip or have questions please leave a comment below or email us at firstname.lastname@example.org. You can also get more information at www.IVFvacationcenter,com.
Thank you for following our journey...
Kelly and John